Northside Medical Specialists

NPI #1265645063 in Canton, Georgia

Provider Information

NPI Number: 1265645063
Entity Type: Organization
Organization Name: Northside Medical Specialists
Primary Specialty: Internal Medicine
Enumeration Date: May 8, 2007
Last Updated: Jun 30, 2010

Practice Location

Address: 145 RIVERSTONE TERRACE
Address 2: SUITE 100
City: Canton
State: Georgia
ZIP Code: 30114-5257
Phone: (770) 704-9499

Authorized Official

Name: CHRISTINA M SWAFFORD
Title: OFFICE MANAGER
Phone: (770) 704-9499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Internal Medicine	207R00000X	Primary

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